Provider Demographics
NPI:1871144618
Name:SUASTEGUI, STEVEN (MD, AP)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:SUASTEGUI
Suffix:
Gender:M
Credentials:MD, AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5965 STIRLING RD UNIT 5166
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-7225
Mailing Address - Country:US
Mailing Address - Phone:954-483-8348
Mailing Address - Fax:954-349-1716
Practice Address - Street 1:4161 NW 5TH ST STE 201
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2101
Practice Address - Country:US
Practice Address - Phone:954-859-6051
Practice Address - Fax:954-349-1716
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-23
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME165419207R00000X, 207R00000X
FL165419207RA0401X
FLTRN36680390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program